基于自动文本信息的程序,以改善初级保健患者不受控制的血压:一项随机临床试验
Eric Bressman1,2, Klea Profka3,4, Laurie Norton3,4
1Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. eric.bressman@pennmedicine.upenn.edu.
Journal of general internal medicine
|December 5, 2024
概括
这项研究发现,远程短信程序与不受控制的高血压的标准护理之间的血压降低没有显著差异. 远程程序确实导致了更多的药物调整.
科学领域:
- 心血管医学 心血管医学
- 数字健康数字健康
- 主要护理是指初级护理.
背景情况:
- 尽管有可用的治疗方法,但低于最佳的血压 (BP) 控制仍然普遍存在.
- 通过办公室访问进行传统的高血压管理可能对药物优化无效.
研究的目的:
- 评估为期6个月的强化远程血压管理计划对患有失控高血压的患者的有效性.
主要方法:
- 一项随机临床试验涉及300名患有无控高血压的成年人,进行了6个月.
- 参与者每周收到自动短信来报告血压读数,由护士和高级实践提供者监测.
- 主要结局是从基线到研究结束时缩血压 (SBP) 的变化.
主要成果:
- 在远程干预手臂 (-14.66 mmHg) 和对照手臂 (-10.87 mmHg) (p=0.39) 之间没有观察到SBP减少的统计学上显著差异.
- 干预组的参与者有更多的药物变化 (0.81对0.57,p=0.01).
- 参与干预组的参与率显示,入学完成率为64.7%,每周BP提交率为72.8%.
结论:
- 与标准护理相比,为期6个月的远程BP管理自动化短信程序在SBP变化中没有显著差异.
- 该计划促进了更多的药物调整,表明在偏远环境中优化治疗的潜力.
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